© Copyright 2025 American Medical Association. All rights reserved.
A mandibular resection prosthesis is a specialized dental device designed to enhance the occlusal relationship between the remaining teeth of the mandible and the maxilla after surgical removal of a portion of the mandible. This procedure is crucial for patients who have undergone mandibular resection due to various medical conditions, including tumors or trauma. The process begins with taking precise impressions of both the mandible and maxilla, which are essential for creating an accurate mold. This mold serves as the foundation for fabricating the prosthesis, ensuring that it fits comfortably and functions effectively. The mandibular resection prosthesis may incorporate additional features such as a flange, guide, or occlusal platform. These components are integral to the design, as they assist in positioning the remaining segment of the mandible in optimal occlusal contact with the maxillary teeth, thereby improving the patient's ability to chew and speak. Overall, this procedure plays a vital role in restoring functionality and enhancing the quality of life for individuals who have experienced significant alterations to their mandibular structure.
© Copyright 2025 Coding Ahead. All rights reserved.
The mandibular resection prosthesis is indicated for patients who have undergone surgical resection of the mandible. The following conditions may warrant the use of this prosthesis:
The procedure for creating a mandibular resection prosthesis involves several critical steps to ensure proper fit and function. Each step is essential for achieving the desired outcome.
After the placement of the mandibular resection prosthesis, patients may require follow-up visits to monitor the fit and function of the prosthesis. It is essential to assess the occlusal contact and make any necessary adjustments to enhance comfort and usability. Patients are typically advised on proper care and maintenance of the prosthesis to ensure longevity and optimal performance. Additionally, they may receive guidance on dietary modifications during the initial adjustment period to accommodate the new prosthesis. Regular dental check-ups are recommended to monitor oral health and the condition of the prosthesis over time.
| Short Descr | IMPRES&PREP MNDBL RES PROSTH | Medium Descr | IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTH | Long Descr | Impression and custom preparation; mandibular resection prosthesis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 32 - Other non-OR therapeutic procedures on nose, mouth and pharynx |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 1991-01-01 | Added | First appearance in code book in 1991. |
Get instant expert-level medical coding assistance.